Organization
CLINICA CIRUGIA AMBULATORIA DR. LUIS A. VAZQUEZ, INC
Active
Other names
CLINICA DE CIRUGIA AMBULATORIA DE PR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS NIEVES ROSAIO MSHA MBA (ADMINISTRATOR)
(787) 833-4400
Entity
Organization
Contact information
Practice address
CALLE PERAL ESQ DE DIEGO, EDIFICIO LA PALMA PISO 6, MAYAGUEZ, PR 00680
(787) 833-4400
(787) 265-6621
Mailing address
PO BOX 3748, MAYAGUEZ, PR 00681-3748
(787) 833-4400
(787) 265-6621
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
87
PR
291U00000X
Clinical Medical Laboratory
745
PR
Other
Enumeration date
11/13/2006
Last updated
06/22/2020
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